Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11957 | Date 13/08/2024 |
| Token No | SM/24-25/18798 17/09/2024 | Serial | 004 |
| Patient Name | Mrs. ANITA DEVI | Contact No | 7595905161 |
| Address | 11/310 COCKRAIN ROAD(2ND CHEKUP) | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||